Fixed-term clinical coding post for 18 months at Royal United Hospitals Bath NHS Foundation Trust, as the trust prepares for a new electronic patient record. The work centres on abstracting and coding inpatient and day case episodes in ICD-10 and OPCS-4 to national standards, with data entered within a set timeframe from discharge, plus liaising with medical staff on queries and mentoring junior coders. The post is open at Band 5 for accredited coders and Band 4 for experienced coders without accreditation, with full-time hours and flexible, home or hybrid working. Accreditation status decides which band applies.
What the job involves
- Abstract and code all inpatient and day case episodes using ICD-10 and OPCS-4 under national and international rules and agreed standards
- Enter clinical data onto the Trust information system for every inpatient episode within the agreed timeframe from discharge
- Follow national and local clinical coding procedures, including those for individual specialties and consultants
- Meet local and national deadlines, working under pressure
- Liaise with medical staff on clinical information and case note queries
- Liaise with porters, medical secretaries, medical records and ward staff on access to case notes
- Raise coding issues locally or with NHS Digital through the Team Manager or Professional Lead
- Identify and address data quality concerns in inpatient recording on the hospital computer system
- Work with clinicians and managers to resolve issues in the clinical coding process
- Support the clinical coding auditor or trainer with internal audit and processes
- Act as mentor to junior coders
- Attend required national and local training and Trust meetings, and carry out other relevant duties
Qualifications
- NHS accredited clinical coder qualification (Band 5 role only)
- Five GCSEs at grade C or above
- A level Biology or equivalent work experience
Experience
- Recent employment in a clinical coding role
- Two years relevant experience with clinical terminology and ICD-10 and OPCS-4, or equivalent demonstrable experience
Skills & knowledge
- Detailed understanding of medical terminology, anatomy and physiology
- Good understanding of clinical coding rules
- Microsoft Office skills, especially Excel
- Able to prioritise own workload to meet deadlines
- Excellent communication and interpersonal skills, with ability to build relationships with professional and administrative staff
- Attention to detail
Other
- Willing to attend all necessary training and clinical coding workshops
- Able to work on own initiative and as part of a team
- Able to mentor and support junior staff
- Able to analyse sensitive information
- Respects others, non-judgemental, kind and co-operative, proactive, willing to learn and open to change
Nice to have
- Training in all acute specialty areas of ICD-10 and OPCS coding
- Knowledge and skills equivalent to accredited clinical coder standards
- Use of 3M encoder or other coding support software
- Use of Millennium patient administration system
- Understanding of HRGs and payment by results
What’s offered
- Flexible working, with on-site, remote or hybrid options
- Well-established staff wellbeing programme covering physical, emotional, spiritual and financial wellbeing
- Staff networks
- Support to develop career and learn within a culture of learning and innovation
- Extensive package of staff benefits
- Access to the trust pool